Related Experiment Video
Updated: Jun 19, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Growing pains in children: epidemiological analysis in a Mediterranean population
Angelos Kaspiris1, Chrisi Zafiropoulou
1Department of Trauma and Orthopaedics, Thriasio General Hospital-NHS, Magoula 19600, Attica, Greece. angkaspiris@upatras.gr <angkaspiris@upatras.gr>
Insights
Recurrent lower limb pains in children, often called growing pains, are common but poorly understood. This study suggests they may be linked to overuse syndromes from physical activity, not anatomical issues.
Area of Science:
- Pediatrics
- Musculoskeletal Disorders
- Epidemiology
Background:
- Recurrent lower limb pains, commonly known as growing pains, are the most frequent cause of musculoskeletal pain in children.
- Despite extensive research, the exact nature and etiology of growing pains remain unclear, with various hypotheses proposed.
Purpose of the Study:
- To investigate the epidemiological profile of children experiencing growing pains.
- To examine management strategies employed by parents and medical professionals.
- To correlate existing theories with epidemiological findings to validate or refute them.
Main Methods:
- A retrospective study involving 532 children aged 4-12.
- Data collected via semi-structured interviews (open and closed questions).
- Analysis focused on lower limb pain occurrences in the 12 months preceding the visit.
Main Results:
- Growing pains were identified in 130 children (24.5% frequency), meeting Petersen's criteria.
- Pains predominantly occurred after intensive physical exercise.
- Children's Body Mass Index (BMI) was not linked to the development of growing pains.
- Primary management involved limb massage, followed by anti-inflammatory agents.
Conclusions:
- Growing pains are a benign condition with an unknown pathophysiological mechanism.
- The study refutes a strong link to anatomical or orthopedic disorders.
- The high incidence after physical exercise suggests a potential lower extremity overuse syndrome, aligning with existing literature.
Objectives:
Recurrent lower limb pains (growing pains) constitute the most frequent cause of musculoskeletal pain in children. Despite the fact that the international literature has presented numerous cases over the years, which have led to various hypotheses and theories, the disorder's exact nature and aetiology remain unclear.
Methods:
Our study aims to examine both the epidemiological profile of the children affected by the disorder and the measures taken by parents or medical specialists for their management. In addition, we tried to link the existing theories with the findings of our study, to ascertain whether these were verified by the epidemiological findings. This retrospective study investigated the appearance of lower limbs in the 12-month period before the visit of the children to our department. The study included a total of 532 children, aged 4-12, while the data were collected through semi-structured interviews including a mix of open and closed questions.
Results:
One hundred and thirty of these children presented growing pains, meeting Petersen's criteria. The frequency of the disorder was 24.5%. Most times, they appeared after intensive physical exercise, while their development was not linked to the children's BMI. The main therapeutic approach used by parents was massaging the painful lower limbs and, to a lesser extent, the administration of anti-inflammatory agents.
Conclusions:
The data analysis proves that this is a benign disorder with an unknown pathophysiological mechanism. In addition, their presence is not strongly related to anatomic or orthopaedic disorders, a fact opposing anatomical theory. On the contrary, their appearance after intensive physical exercise at a percentage of up to 78.5% leads us to hypothesise that it is a lower local extremity overuse syndrome, which seems in accordance with many experimental data in international literature.
Related Concept Videos
Bias in Epidemiological Studies
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Investigation of Disease Outbreaks
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Prevalence and Incidence
Prevalence indicates the proportion of individuals in a population who have a specific disease or health condition at a...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.